STATE OF [State]
COUNTY OF [County]

Introduction:

I, [Your Name], being duly sworn, declare under penalty of perjury:

Statement of Facts:

1. I am the testator and signer of the attached will, dated [Date of Will], and I sign it willingly, without any undue influence or coercion.

2. I am of sound mind and understand the nature of this document and the distribution of my estate that it directs.

3. The witnesses, whose signatures appear below, signed the document in my presence and in the presence of each other. Each witness is over the age of eighteen years and is not a beneficiary of my will.

4. I request, as my voluntary act, for this affidavit to be attached to the aforementioned will, making it a self-proving will according to the laws of the State of [State].

Witnesses:

1. I, [Witness 1 Full Name], being duly sworn, say that I witnessed [Testator's Full Name], the testator, sign the will dated [Date of Will] willingly and freely, and that the testator declared the document to be their will in our presence. I am not a beneficiary of this will and am of legal age.

2. I, [Witness 2 Full Name], being duly sworn, say that I witnessed [Testator's Full Name], the testator, sign the will dated [Date of Will] willingly and freely, and that the testator declared the document to be their will in our presence. I am not a beneficiary of this will and am of legal age.

IN WITNESS WHEREOF,

I have hereunto set my hand this [Date], day of [Month], [Year].

Signature:

[Your Name]

[Witness 1 Full Name]

[Witness 2 Full Name]

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